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Individual

JAMES G. JEPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7496709-1701
UT

Other

Enumeration date
11/07/2011
Last updated
11/23/2011
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